Alphanumeric Paging in an Academic Military Hospital Setting

Guerrero, Arthur F.; Nuñez, Lara B.; Thompson, Jennifer C.; Sharkey, Christine Dupiche; Troncoso, Jorge A.; Moon, Jerry L.

doi:10.7205/milmed-d-01-2108

Cited by 11 publications

(12 citation statements)

References 4 publications

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“…The volume of pages and their frequently nonurgent status may represent potential distractions for junior residents that may compromise the quality and safety of care, as has been suggested by other studies. 4 Previous studies have revealed a high degree of satisfaction among physicians with alpha-numeric paging systems, which can minimize interruptions in patient care 5,6 ; however, a recent study questioned the utility of this approach, citing a high incidence of poor or inadequate communications. 7 Two-way paging is another alternative and was preferred over one-way alpha-numeric pagers in one small study.…”

Section: Discussionmentioning

confidence: 99%

“…Paging practices and their burden on on-call residents have been studied in a variety of settings. [1][2][3][4][5][6][7][8][9] To date, only one study, conducted 2 decades ago, prospectively collected page priorities and the activities performed by the resident at the time pages were received. 2 Few studies have evaluated paging practices in surgical specialties, and none have prospectively evaluated paging priorities and the interruption of resident activities since the onset of the current duty hour limits.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

An Observational Study of Hospital Paging Practices and Workflow Interruption Among On-Call Junior Neurological Surgery Residents

Fargen¹,

O’Connor²,

Raymond³

et al. 2012

Journal of Graduate Medical Education

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

An Observational Study of Hospital Paging Practices and Workflow Interruption Among On-Call Junior Neurological Surgery Residents

Fargen¹,

O’Connor²,

Raymond³

et al. 2012

Journal of Graduate Medical Education

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“…9 10 17 18 Frequent interruptions in workflow have been linked with heightened workplace stress and an increased risk of error 23 5 6 11 13 15 18 21 22 Alpha-numeric pagers are the primary source of RN-provider communication in many healthcare institutions, and are used to convey a variety of messages 7…”

Section: Introductionmentioning

confidence: 99%

“…10 11 This requires the provider to stop and check each message to ensure that urgent needs (acute changes in patient condition) are addressed immediately 710 11 17 Unfortunately, many messages are not urgent, leading to unnecessary disruptions in workflow. These frequent interruptions for non-urgent matters have been identified in the literature as a safety concern 3…”

Section: Introductionmentioning

confidence: 99%

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Inbox Messaging: an effective tool for minimizing non-urgent paging related interruptions in hospital medicine provider workflow

Ferguson

Aaronson

Anuradhika

2016

BMJ Qual Improv Report

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Communication is one of the foundations on which safe, high quality care is built.1, 3, 6, 17, 20 The nature of hospital medicine requires that nurses and providers be efficient and effective in communicating with multiple disciplines.17 This need for timely communication must continually be balanced with the need to minimize interruptions in workflow.1,2 3,4,6,7,9,13,15,17,18 Interruptions not only lead to distraction, they also add inefficiency to the care process and have been shown to contribute to an increased risk of medical error.2,3,4,7,17,18 A major source of interruptions are pagers that emit an audible tone with each message received.3,9,10,17,18 This interruptive nature makes pagers a less-than-ideal tool for communicating non-urgent (address within one hour) messages received.3,9,10,17,18 In addition to increasing interruptions, pagers do not facilitate closed loop communication, another feature that has been shown to improve safety.14,17,25Inbox Messaging is intended to provide a less disruptive closed-loop method of communication for non-urgent messages.Inbox Messaging is an interface within the electronic health record (EHR) that functions similarly to e-mail. A multi-disciplinary communication workgroup identified this interface as having potential to not only decrease interruptions, but to also facilitate closed-loop communication. Inbox is currently utilized between the hours of 0700 and 1800 for non-urgent nurse-provider communication about patients on the hospital medicine service. The number of RN non-urgent pages per day was 103 (SD=19, n=97) prior to the Inbox intervention, with a significant decrease (p<.001) during follow-up to 38 (SD=14, n=354) pages per day. At the same time, the number of messages per day increased from 0 to 80 (SD=20, n=354) messages during follow-up. As desired, the mean number of RN urgent pages was unchanged from 13 per day to 13 per day (p=.52).Cerner Inbox Messaging decreases the frequency of non-urgent pager-related interruptions in workflow.

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Improving Communication Between Nursing Staff and On-Call Residents via a Standardized Paging Protocol

et al. 2019

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Alphanumeric Paging in an Academic Military Hospital Setting

Cited by 11 publications

References 4 publications

An Observational Study of Hospital Paging Practices and Workflow Interruption Among On-Call Junior Neurological Surgery Residents

An Observational Study of Hospital Paging Practices and Workflow Interruption Among On-Call Junior Neurological Surgery Residents

Inbox Messaging: an effective tool for minimizing non-urgent paging related interruptions in hospital medicine provider workflow

Improving Communication Between Nursing Staff and On-Call Residents via a Standardized Paging Protocol

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